Individual
IMANI LYNEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 N BLACKSTONE AVE, FRESNO, CA 93701-1913
(559) 274-0299
Mailing address
258 N BLACKSTONE AVE, FRESNO, CA 93701-1913
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
06/02/2025
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